| 慢性阻塞性肺疾病患者住院费用构成及影响因素研究 |
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| 引用本文： | 方莉,张建勇.慢性阻塞性肺疾病患者住院费用构成及影响因素研究[J].现代预防医学,2023,0(9):1649-1655. |
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| 作者姓名： | 方莉 张建勇 |
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| 作者单位： | 遵义医科大学附属医院，呼吸与危重症医学科二病区，贵州 遵义 563000 |
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| 摘 要： | 目的 研究慢性阻塞性肺疾病（慢阻肺）患者住院费用构成及其影响因素。方法 回顾性分析贵州某三甲医院32 958例慢阻肺患者住院费用构成及影响因素，采用秩和检验对患者单次人均总住院费用影响进行单因素分析、多元线性回归分析方法对单次人均总住院费用影响进行多因素分析。结果 慢阻肺住院患者单次人均住院总费用为（16 986.74±29 519.17）元，其中西药类单次人均住院总费用为（7 009.45±12 260.47）元，占单次人均住院总费用41.26%，西药类费用是慢阻肺住院患者最主要的经济费用负担；平均住院天数（11.05±11.62）d；患者性别（Z=-8.133）、年龄（H=132.948）、入院途径（Z=-11.009）、病情严重程度（Z=50.755）、住院天数（H=12 504.403）、抢救（Z=-58.114）、抗菌药物使用（Z=-25.386）及联合用药（Z=48.098）均是慢阻肺患者住院费用的影响因素（P<0.001）。多元线性回归分析结果显示，影响慢阻肺患者住院费用最主要的因素为住院天数大于12 d（单次人均费用95%CI:20 942.51～22 406.9...
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| 关 键 词： | 慢性阻塞性肺疾病 住院费用 影响因素 |
A study on the components and influencing factors of hospitalization cost for patients with chronic obstructive pulmonary disease |
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| FANG Li,ZHANG Jian-yong.A study on the components and influencing factors of hospitalization cost for patients with chronic obstructive pulmonary disease[J].Modern Preventive Medicine,2023,0(9):1649-1655. |
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| Authors: | FANG Li ZHANG Jian-yong |
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| Affiliation: | Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, China |
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| Abstract: | Objective To explore the components of hospitalization costs and the influencing factors for patients with chronic obstructive pulmonary disease (COPD). Methods A retrospective analysis of the composition and influencing factors of 32 958 COPD patients in a tertiary hospital in Guizhou was conducted. The rank sum test was performed to analyze the influence of single factors on the single total per capita hospitalization cost of patients, and multiple linear regression analysis the influence of multiple factors on the single total per capita hospitalization cost. Results The total per capita cost of a single hospitalization for COPD patients with COPD was (16 986.74±29 519.17) yuan, of which the total per capita cost of western medicine was (7 009.45±12 260.47) yuan, accounting for 41.26% of the total per capita cost of a single hospitalization. The cost of western medicine constituted the heaviest financial burden. The average length of stay was 11.05±11.62 days. The results of rank sum test showed that patient gender (Z=-8.133), age (H=132.948), route of admission (Z=-11.009), severity of disease (Z=50.755), number of days in hospital (H=12 504.403), resuscitation (Z=-58.114), use of antibiotics (Z=-25.386), and combination of drugs (Z=48.098) were all influencing factors in the cost of hospitalization for COPD (P＜0.001). Multiple linear regression analysis showed that the most significant factor influencing the cost of hospitalization for COPD patients was the length of hospital stay more than 12 days (single cost per person 95%CI: 20 942.51-22 406.92 yuan, β=0.326), followed by emergency rescue (single cost per person 95%CI: 10 035.34-11 588.17 yuan, β=0.167) and combined use of antibiotics (single cost per person 95%CI: 7 428.28-8 925.94 yuan, β=0.112). Conclusion The hospitalization cost of COPD patients has been on the rise in the past 10 years, among which the cost of western medicine is the top one economic cost component, and the number of days in hospital is the most important factor affecting the hospitalization cost. Strengthening early detection and intervention of COPD and actively carrying out health insurance payment reform can help reduce the economic burden of patients and society. |
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| Keywords: | Chronic obstructive pulmonary disease Hospitalization cost Influencing factor |
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